376624050-1-10-2025-20-CC-DSTS-DCSVGC-20250110152520

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376624050
Report Date: 01/10/2025
Date Signed: 01/10/2025 03:25:31 PM

Document Has Been Signed on 01/10/2025 03:25 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	WONG, LUCILYN FAMILY CHILD CARE		FACILITY NUMBER:	376624050
ADMINISTRATOR/ DIRECTOR:	LUCILYN WONG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 368-4854
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 13	CENSUS: 10	DATE:	01/10/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:46 PM
MET WITH:	Lucilyn Wong		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 01/10/2025 at 1:46 PM, Licensing Program Analyst (LPA), Dana Stevens conducted an unannounced Annual Inspection. Upon arrival, LPA was greeted by Licensee Lucilyn Wong. LPA disclosed the purpose of the inspection and was granted entry into the facility. There were 10 day-care children present at the time of the inspection ages 19 months - 8 years. Licensee stated she does not enroll children under 16 months old. Licensee accompanied LPA throughout the inspection of this 3 bedroom, 2 bathroom home. The following areas are used for child care: the daycare room, living room, kitchen, dining area and one bathroom. Off Limit areas include: all three bedrooms, one bathroom and garage. These areas are made inaccessible with safety gates and door locks. Hours of operation are Monday - Friday, 07:00 AM - 05:00 PM. The backyard is used for outdoor play and is fully fenced. Licensee states total supervision is provided during outdoor play. The front courtyard is not used for child care but is accessible to children for arrival and departure. LPA inspected the front courtyard and found no safety hazards and all gates are secured. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. The licensee has toys, play equipment and materials available. There are no bodies of water observed at the time of this inspection. A review of records on this date indicates that all individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee's CPR/First Aid certifications are current and expire 06/2025. Licensee's assistant's CPR/First Aid certifications are current and expire 03/2025. Licensee's assistant completed Mandated Reporter Training 08/2023. Licensee completed Mandated Reporter training in 07/2022 and needs to renew. Licensee was reminded that Mandated Reporter training needs to be renewed every 2 years by all persons that provide care for children. Staff files were reviewed and found to be complete. A sample of children's files were reviewed and found complete. Infant sleep checks were documented for only one of the two infants in care. LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: WONG, LUCILYN FAMILY CHILD CARE	FACILITY NUMBER: 376624050
	VISIT DATE: 01/10/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Deficiencies cited on the attached LIC 809D.

Exit interview conducted and copy of report and appeal rights were provided to the licensee and their signature on this form acknowledges receipt of these rights.

A notice of site visit was given and must remain posted for 30 days

SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 01/10/2025 03:25 PM - It Cannot Be Edited

Created By: Dana Stevens On 01/10/2025 at 03:16 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: WONG, LUCILYN FAMILY CHILD CARE	FACILITY NUMBER: 376624050
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/10/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(j)(2)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review the licensee did not comply with the section cited above for 1out of 2 infants which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/10/2025
	Plan of Correction
1 2 3 4	Licensee will provide copys of completed sleep logs for all infants in care to LPA by 02/10/2025.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Cynthia Biszant

LICENSING EVALUATOR NAME:

Dana Stevens

LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025

LIC809 (FAS) - (06/04)

Page: 3 of 3